• Title/Summary/Keyword: compliance control

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Moderation and Mediation Effects of Self-efficacy and Perceived Behavioral Control on the Relationship between Knowledge of and Compliance with Handwashing in Nursing Students (간호대학생의 손씻기 지식과 수행의 관계에서 자기효능감과 지각된 행위통제의 조절 및 매개효과)

  • Park, Soonjoo
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.24 no.3
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    • pp.219-229
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    • 2017
  • Purpose: The aim of this study was to examine the relationship between handwashing knowledge and handwashing compliance in nursing students and to identify the moderation and mediation effects of self-efficacy and perceived behavioral control on the relationship. Methods: The participants were 172 nursing college students who completed the self-report measures. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient, Multiple regression analysis was used to test moderation and mediation effects. Results: The score for knowledge of handwashing was higher in participants who had completed fundamentals of nursing practicum (t=-6.54, p<.001) and the score for compliance with handwashing was higher in participants who had completed clinical practicum (t=-3.81, p<.001) or fundamentals of nursing practicum (t=-5.97, p<.001). Self-efficacy showed a significant moderation effect (z=2.21, p=.027) but not a mediation effect while perceived behavioral control had a significant mediation effect but not a moderation effect on the relationship between knowledge of handwashing and compliance. Conclusion: Findings indicate that clinical practicum and fundamentals of nursing practicum were helpful to nursing students in acquiring knowledge and in practicing proper handwashing technique. These findings suggest that continuing and repetitive education programs on handwashing need to be enhanced and strategies to strengthen self-efficacy and perceived behavioral control need to be included in education programs.

Efects of Breastfeeding Education Program on the Promotion of Mother's Feeding Compliance (모유수유 강화교육 프로그램이 산모의 모유수유 실천에 미치는 영향)

  • Lee, Eun-Sook;Suh, Young-Sook
    • Women's Health Nursing
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    • v.2 no.1
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    • pp.68-87
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    • 1996
  • The purpose of this study was to investigate the effects of breast-feeding education program on the promotion of mothers's feeding compliance during the 4 months after childbirth. A nonequivalent control group posttest design was used. Eighty-nine pregnant women at their 32 more weeks of gestation receiving antenatal care at the Chonnam University Hospital Obstetrics Clinic were assigned to the experimental group. Control group was ninety-nine pregnant women over 32wks of gestation receiving antenatal care at the Kwangju Christianity Hospital Obstetric Clinic during the same period. Breast-feeding education program was introduced to the experimental group from antepartal visit to 4 months after childbirth. Data were collected primarily via telephone interview on the 7th day, the end of 1 month and the 4 months after childbirth respectively. The results showed that 1) the frequency of breast-feeding continuation promoting behaviors was higher in the experimental group than in the control group. 2) The rates of mothers' compliance during the 4 months after childbirth in the experimental group demonstrated a significant difference ; much higher rate of mothers' compliance than control group. Conclusively, the breast-feeding education program increase the rate of mothers' compliance and duration of breast-feeding.

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Effect of Breathing Exercise Using Panflutes on the Postoperative Compliance, Pulmonary Infections and Life Satisfaction in Elderly Patients Undergoing Spinal Surgery (척추수술을 받는 노인에게 시행한 수술 전 팬플룻 호흡운동 훈련의 효과)

  • Jo, Hyun Mi;Shin, Hyunsook
    • Journal of Korean Academy of Nursing
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    • v.48 no.3
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    • pp.279-288
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    • 2018
  • Purpose: The purpose of this study was to examine the effects of breathing exercises performed using panflutes in elderly patients undergoing spinal surgery. Methods: The study design was a nonequivalent control group non-synchronized pre-post test. The study included 24 patients in both the experimental group and the control group. The experimental group completed a daily breathing exercise regimen using panflutes for 30minutes after meals, whereas the control group was provided standard preoperative education, including breathing exercises using incentive spirometers. After the exercise regimen, breathing exercise compliance, pulmonary infections, and life satisfaction were measured in both groups, and the data were analyzed using the SPSS/WIN program. Results: The compliance rate of breathing exercises was significantly higher in the experimental group. The experimental group presented no pulmonary infections in the later period, whereas the control group presented higher pulmonary infection rates in the same period. In addition, the life satisfaction score in the experimental group significantly increased. Conclusion: The breathing exercise program using panflutes for elderly patients undergoing spinal surgery enhanced their breathing exercise compliance and their daily life satisfaction in addition to reducing their pulmonary infection rates.

Effects of Individualized Education on Knowledge, Compliance, and Physiologic Parameters in Hemodialysis Patients (개별교육이 혈액투석환자의 투석관련 지식, 환자역할행위 이행 및 생리적 지수에 미치는 효과)

  • Kim, Young-Ju;Yoo, Yang-Sook
    • Korean Journal of Adult Nursing
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    • v.18 no.3
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    • pp.367-376
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    • 2006
  • Purpose: This study was designed to explore the effects of providing individualized education for hemodialysis patients on their knowledge of hemodialysis, compliance of patient role behavior, and physiologic parameters. Method: A quasi experimental design with a non-equivalent control group and a non-synchronized design was used. The experiment was conducted with a total of 40 hemodialysis patients (20 in the experimental group and 20 in the control group) at the artificial kidney center, C University Hospital. The experimental group was provided with individualized education, 30 minutes per session, three times per week, for two weeks. Results: The experimental group had significantly higher knowledge of hemodialysis than the control group after the education. The compliance of patient role behavior was more enhanced in the experimental group than the control group. The experimental group showed significantly higher values of blood urea nitrogen, but not the values of blood creatinine, albumin, kalium, and phosphorus. Conclusion: The individualized education was found to be an effective intervention for improving patients' knowledge of hemodialysis and compliance of patient role behavior.

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Effect of Asthma Management Education Program on Stress and Compliance of Patients with Allergic Asthma to House Dust Mite

  • Yoo Yang-Sook;Cho Ok-Hee;Kim Eun-Sin;Jeong Hye-Sun
    • Journal of Korean Academy of Nursing
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    • v.35 no.4
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    • pp.686-693
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    • 2005
  • Purpose. This study was designed to examine the effect of asthma management education program applied to allergic asthma patients receiving immunotherapy due to house dust mite on their stress and compliance with health care regimens. Methods. A quasi experimental design with non-equivalent control group and non-synchronized design was used. The subjects of this study were 61 patients who were receiving immunotherapy at intervals of a week after their symptoms were diagnosed as house dust mite allergic asthma at the pulmonary department of a university hospital in Seoul. They were divided into an experimental group of 29 patients who received asthma management education and a control group of 32 patients. The asthma management education pro-gram was composed of group education (once) and reinforcement education (three times) with environmental therapy and immunotherapy to house dust mite. Results. Stress significantly decreased in the experimental group compared to that in the control group. Compliance with health care regimens significantly increased in the experimental group compared to that in the control group. Conclusions. The results suggested that the asthma management education program is effective for the management of stress and the improvement of compliance in patients with allergic asthma to house dust mite.

Auto Path Generation and Active Compliance Force Control Using 3-axis Grinding Robot (3축 그라인딩 로봇을 이용한 자동 경로 생성 및 능동 컴플라이언스 힘 제어)

  • Choo, Jung-Hoon;Kim, Soo-Ho;Lee, Sang-Bum;Kim, Jung-Min
    • Journal of Institute of Control, Robotics and Systems
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    • v.12 no.11
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    • pp.1088-1094
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    • 2006
  • In this paper, an auto path generation and an active compliance grinding control using 3-axis farce sensor are presented. These control algorithms enable the grinding robot to follow unknown path of various workpiece shape pattern. The robot is able to go grinding along unknown paths by position controller managing tangential direction angle and cutting speed, with only information about the start position and the end position. Magnitude and direction of normal force are calculated using force data that go through low pass filter. Moreover, normal and tangential directions are separated for force control and velocity control, respectively.

The Effect of Social Support on Compliance with Sick Role Behavior in Hypertensive Clients and Duration-of the Effect for up to 6 months (사회적 지지가 고혈압환자의 역할행위 이행에 미치는 영향과 지지요법 효과의 지속에 관한 연구 I)

  • 박오장;홍미순;장금성;김지영
    • Journal of Korean Academy of Nursing
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    • v.28 no.1
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    • pp.159-170
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    • 1998
  • This study was done using a Quasi-experimental research design to determine the effects of social support on compliance with sick role behaviors in hypertensive patients and to know if the effect of the social support on compliance lasted for at least 6 months. The subjects consisted of 81 hypertensive patients who were registered in the Cardio-Vascular OPD at Chonnam National University Hospital. They were divided by random sampling into 42 people for the experimental group and 39 for the control group. Data were gathered from June 3, 1996 to June 10, 1997 through individual interviews using a structured questionnaire. The results of the study were summarized as follows : 1. Compliance with sick role behaviors in hypertensive clients was significantly increased in the experimental group who received social support from the nurse as compared to the control group who did not receive social support(t=15.99. p<.001). 2. The effect of social support on compliance with sick role behaviors in hypertensive clients lasted for 6 months(t=7.99, p<.001). 3. Four of six people stopped smoking in experimental group after the intervention of social support, but none of the five in control group were able to stop smoking. Fisher's Exact test showed a significant difference between the experimental and control group(x²=4.385. p< .05). Mantel Haenszel test showed that the effect of social support on stopping smoking in the experimental group lasted for six months because there were no significant differences between one month after the social support and six months after, in the number of subjects who stopped smoking(x²=1.154, P>.05). Finally, social support was effective on compliance with sick role behaviors and stopping smoking in the hypertensive clients, and the effect of social support on compliance lasted for 6 months.

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Compliance with Nosocomial Infection Control and Related Factors among Emergency Room Nurses (응급실 간호사의 감염관리 수행도 및 관련 요인)

  • Park, Sang-Yeon;Shin, Dong-Soo;Lee, Hyun-Gu;Kim, Hee-Sook
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.15 no.2
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    • pp.153-160
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    • 2008
  • Purpose: This study was done to examine the level of compliance and the relation of related factors of nosocomial infection control among nurses in emergency rooms. The data will provide fundamental information for developing programs for nosocomial infection control in the emergency room. Method: Study participants were 183 nurses working in emergency rooms in general hospitals that had more than 500 beds and were located in Daegu, Daejeun, and Pusan. The survey was carried out from March 7 to March 26, 2006 and a structured questionnaire was used. Descriptive statistics, t-test, ANOVA and Sheffe test with SPSS 14.0 were used to analyze the data. Results: The average level for practice of infection control was relatively low Levels of compliance were high when the participants had: 1) regular conferences for nosocomial infection control, 2) positive perception of protection devices, 3) knowledge of whom to report and experiences of reporting needle stick injuries, 4) hospital guidelines for infection control and 5) enough equipment supplies from the hospital. Conclusion: Nosocomial infection control among emergency room nurses could be improved via personal, psychosocial, and organizational factors and related education.

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The Relationship between Hardiness.Self Efficacy and Compliance in Coronary Artery Disease Patients (관상동맥질환자의 강인성, 자기효능과 건강행위 이행과의 관계)

  • Kim, Sook-Young
    • Journal of East-West Nursing Research
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    • v.3 no.1
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    • pp.83-95
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    • 1998
  • The purpose of this study was to investigate the relationship between hardiness-self efficacy and compliance in coronary artery disease patients. The subjects for the study were 106 patients who admitted to S medical center or visited to outpatient clinic. The instruments used for this study included a questionnaire of general characteristics, compliance, health related hardiness and self efficacy. The data were analyzed by using mean, t -test, ANOVA, Scheffe test, Pearson correlation. The results of this study were as follows: 1. The average score for compliance was 70.75, for the hardiness was 87.35, for the self efficacy was 59.04. 2. The relationship between the variables of compliance and hardiness self efficacy was significant. Compliance was significantly related to hardiness(r=.47, p<.01), suggesting that the person with high hardiness got higher compliance scores. The three dimensions of health related hardiness were control, commitment, challenge. Control(r=.513, p<.01), commitment(r=.258, p<.05), challenge(r=.419, p<.01), were significantly related to compliance. A slight but significant correlation was also found between compliance and self efficacy(r=.21, p<.05). 3. In the relationship between general characteristics variables and compliance there were significant differences in marital status(t =3.43, p<.01), duration of illness(F=4.98, p<.01), hospitalized experience(t=2.04, p<.05), educational experience(t=2.66, p<.01). From the above results, it can be concluded that ; Hardiness and self efficacy were found as important factors of the compliance in coronary artery disease patients. These results suggest that nursing intervention to increase the level of hardiness and self efficacy should be developed.

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Knowledge of and Compliance with Standard Precautions by Nurses in Intensive Care Unit (중환자실 간호사의 표준주의에 대한 지식과 이행도)

  • Cho, Gwi-Lae;Choi, Jeong-Sil
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.17 no.1
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    • pp.73-81
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    • 2010
  • Purpose: This study was done to identify the intensive care unit nurses' knowledge of and compliance with the standard precautions (universal precaution) as stated in infection control guidelines. Method: From September 14 to September 28, 2006, data were collected via a questionnaire survey from 189 Intensive Care Unit nurses working at three university branch hospitals and one general hospital in Gyeonggi province. Results: The mean knowledge score was 18.8/20.0 (93.9%). The mean compliance score was 3.4/4.0 (85.8%). Two factors influencing compliance were perception of the standard precautions and experience of needle stick injuries over the past year (p<.05). Two factors influencing knowledge were support of co-workers in the use of protective devices and the availability of hand-washing device or waterless alcohol gel (p<.05). Conclusion: In order to improve knowledge and compliance with standard precautions, all factors of importance for knowledge and compliance must be taken into consideration in the clinical work place and in education.